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About Your Visit
About Your Visit
The Day of Your Visit
On the day of your appointment, your patient navigator will greet and escort you to our Executive & Preventive Health suite. There, your personal Executive & Preventive Health physician will begin the day with a comprehensive medical history and a physical examination.
You will also meet with your personal physician at the end of the day to go over test results, answer any questions and review any health recommendations.
Your personalized schedule will typically include:
Procedures and Examinations
An audiogram will test your hearing and determine any levels of hearing loss.
Body Fat Analysis
A body fat analysis involves standing on a special scale, which uses electrodes to measure your body fat percentage. Higher levels of body fat have been shown to be associated with numerous medical conditions, including diabetes, heart disease, sleep apnea and certain cancers.
Bone Density Scan
To detect osteoporosis, this study should be obtained by women who are perimenopausal and have not been previously tested. Mild bone loss begins in the late 20s, but with the onset of menopause, women begin losing bone mass at the rate of 1 to 5 percent per year, putting them at risk for one of 1.5 million wrist, hip and spinal fractures caused yearly by osteoporosis. The necessity for follow-up is determined by individual’s situation. It is currently recommended for average-risk women at age 65.
This imaging test will provide a look at the structure and organs in your chest, and will give your personal Executive and Preventive Health physician valuable insight to see how well your heart and lungs are working.
A colonoscopy is recommended by the American Cancer Society to screen for colorectal cancer in all Americans 50 and older every eight to 10 years. Greater frequency of colonoscopy is appropriate for patients with a family or personal history of colorectal cancer or polyps. This procedure requires thorough cleansing of the bowel and intravenous sedation. An additional day and a chaperone to accompany the patient home after the procedure are necessary.
Comprehensive Laboratory Screening Tests
These screening tests will involve blood and urine samples to provide your doctor with better insight into important body functions, like the health of your kidneys and liver, cholesterol levels, and more. All patients are encouraged to have a hepatitis C screening and an HIV test, per Centers for Disease Control and Prevention (CDC) protocols. Consent must be obtained prior to sending the HIV test to the laboratory.
Skin screenings will enable your doctor to look for telltale signs of skin cancer and other conditions.
Experts from the Wilmer Eye Institute will conduct a comprehensive examination to evaluate your vision and the health of your eyes.
A certified exercise counselor will work with you to create a customized exercise program. This is recommended for patients who plan to start a regular exercise regimen or significantly change their existing fitness routine. This is done in conjunction with the exercise stress test.
Exercise Stress Test
This treadmill test provides information about how your heart responds to physical activity. The test consists of walking and possibly running on a treadmill where the rate gradually increases in both speed and elevation. A baseline test is recommended beginning at age 45 (men)/50 (women) for patients with risk factors for premature arteriosclerosis — diabetes, cigarette smoking, significant hypercholesterolemia and family history of heart attacks at a young age — and for those beginning a fitness program. Others begin at age 50. Whether or not it should be repeated requires individualized review with your Executive Health physician.
Women in their 40s should get a mammogram at least once every two years. Women 50 and older should be screened annually. Johns Hopkins Medicine offers 3-D mammography, which provides more comprehensive screening and triggers fewer false alarms than traditional 2-D mammography.
Metabolic Stress Test
Metabolic stress tests are used to measure the performance of your heart and lungs, particularly while they are under greater physical demand.
Neuropsychological Wellness Assessment
A 1 or 3 hour session designed to evaluate memory and other cognitive functions as they affect occupational and personal functioning; to evaluate emotion regulation and stress management; to evaluate and encourage health-affirming behaviors and to make recommendations for treatment or management, if needed. These are conducted by a neuropsychologist who will make recommendations in a personal letter mailed to you within a week of the assessment.
Nutrition Lifestyle Assessment
Interested in learning how your diet affects overall health? The nutrition lifestyle assessment will enable you to meet with a dietician to discuss your dietary intake.
The CDC recommends all women between the ages of 21 and 65 receive a Pap test regularly. Pap tests look for cell changes on the cervix that could develop into cervical cancer if they are not treated correctly.
Pulmonary Function Test (PFT)
A pulmonary function test assesses for emphysema, bronchitis, asthma or other pulmonary problems. These tests should be obtained at the first visit. Follow-up studies on subsequent visits may be obtained if you have a history of respiratory symptoms, smoking or known lung disease.
Resting Electrocardiogram (EKG)
A resting EKG uses electrodes at specific locations on the body to create a graphic representation of the electrical activity in your heart, which may indicate if you have a heart-related condition.
Vaccination Review and Administration
Been a while since you’ve received your vaccinations? A vaccination review will determine which ones you need based on your age and travel patterns. We can administer any vaccines that you and your physician decide are necessary.
In between examinations, you will have access to additional amenities, including:
- Continental breakfast and lunch
- Executive lounge with telephone and internet access
- Interpreter services (if required)
- Lockers for your personal items
- Business services
At the end of the day, you will meet again with your personal physician to go over your test results, discuss any questions, and receive your individualized recommendations for future health and wellness.
In the event our doctors recommend an additional examination or there is a specific consult with one of our other specialists that you are interested in receiving, we’ll work with you to try and schedule it on the same day, schedule a follow-up appointment or provide a referral to schedule an appointment at a local care provider.
After Your Visit
After returning home, you will receive a summary of your examinations in about 10 business days, or sooner if you use MyChart. These summaries will include your existing health status and recommendations for how to maintain or improve your health.
Your medical information is confidential, but we’d be happy to send copies of your reports to your personal care physician upon request.